Bill To:

Farmer's Insurance
PO Box 0991
Carol Stream, IL 60132-0991

Services Rendered To:

Doug Hinson
Veh. Owner
Farmers Insurance
Policy # 192499732


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50

  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  4. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 266 & 1060 Road - Checotah, OK

    Ordinance Info: Paradise Point Cost Recovery Resolution 1621

Subtotal $1,000.00
Total Due $1,000.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
August 3, 2021 @ 1:34 pm

Invoice updated by Geoffrey.

Status Update
August 3, 2021 @ 1:34 pm

Status changed: Draft to Pending.

Updated
August 25, 2021 @ 5:46 pm

Invoice updated by Geoffrey.

Updated
April 11, 2022 @ 6:19 pm

Invoice updated by Geoffrey.